API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-11 07:09:55.569229 | 2026-03-11 07:10:07.388693 | 20079129 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-12-10 | 2026-03-11 | M | PT | 4191 | ANGHA | XXP966240802 | ZACHARIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16448068/check_20079129_0f6c7ae2-5560-4320-8c92-39fa9a1fed02.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16448068/check_20079129_c7f2e3a2-3d80-4e81-a322-456b3c38e461.json | N/A | N/A | N/A | N/A | N/A | XXP966240802 | Preferred Provider Organization (PPO) | PARTNER THERAPEUTICS INC | BLUE SHIELD OF CALIFORNIA | N/A | 2001-12-10 | N/A | 002363611 | N/A | PR | false | JASHNIAN | N/A | FARIBA | N/A | 9999-12-31 | 2025-12-01 | PPO - BLUE CARE ELECT PREFERRED 80 WITH COPAY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682787 | N/A | N/A | 16448068 | 2222 | N/A | 20047128 | N/A | 14493240 | 2026-03-11 07:10:07.388693 | 2026-02-25 21:26:55.970409 |
| 2026-03-11 07:09:55.457543 | 2026-03-11 07:10:03.253262 | 20079110 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-08-30 | 2026-03-11 | M | AE | 6237 | Wilson | 400662670-01 | Jesse | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15459527/check_20079110_07488435-2e35-4cc3-baf5-3277affca4ba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15459527/check_20079110_3d897f2a-4150-4d0e-9dc2-b8605446921c.json | N/A | N/A | N/A | N/A | N/A | 400662670-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-08-30 | N/A | N/A | N/A | N/A | false | WILSON | N/A | JESSE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15459527 | 2222 | N/A | 20047083 | N/A | 13546654 | 2026-03-11 07:10:03.253262 | 2026-01-15 21:26:11.579374 |
| 2026-03-11 07:09:55.415089 | 2026-03-11 07:10:05.275999 | 20079103 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-03-01 | 2026-03-11 | M | AE | 2630 | Lazarus | 00000505433 | Jerry | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16411654/check_20079103_5842c4fe-b11e-44bc-8cf7-12a7ea7769e2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000505433 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1942-03-01 | N/A | N/A | N/A | N/A | false | LAZARUS | N/A | JERRY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16411654 | 2222 | N/A | N/A | N/A | 14459877 | 2026-03-11 07:10:05.275999 | 2026-02-05 17:59:52.344305 |
| 2026-03-11 07:09:55.356484 | 2026-03-11 07:10:05.283237 | 20079092 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-23 | 2026-03-11 | M | AE | 5505 | SEINFELD | 000011161002 | JACK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16314534/check_20079092_f3d7575b-ecb5-4765-ba7d-e286ae09fce5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16314534/check_20079092_6b836ebb-0099-4117-968c-af1f352df4c8.json | N/A | N/A | N/A | N/A | N/A | 000011161002 | N/A | N/A | KP MEDICARE | HMO - HMO COMMERCIAL | 1949-10-23 | 4384939 | 500850 | N/A | N/A | false | SEINFELD | N/A | JACK | N/A | 2026-12-31 | 2026-01-01 | RAND CORPORATION RAND CORP - PRE-65 RETIREES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682779 | N/A | N/A | 16314534 | 2222 | N/A | 20047100 | N/A | 14364107 | 2026-03-11 07:10:05.283237 | 2026-02-04 17:56:53.128350 |
| 2026-03-11 07:09:55.322145 | 2026-03-11 07:10:06.298293 | 20079086 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-18 | 2026-03-11 | F | AE | 5349 | ROZZANO | H9643373200 | GINA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16263884/check_20079086_ad48ebf8-7c32-4e37-9a92-1a52926d18bc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16263884/check_20079086_4cf5c877-1281-4819-803f-a7da86f30a05.json | N/A | N/A | N/A | N/A | N/A | H96433732 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1953-09-18 | N/A | 2B722001 | N/A | HN | false | ROZZANO | N/A | GINA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682778 | N/A | N/A | 16263884 | 2222 | N/A | 20047117 | N/A | 4214855 | 2026-03-11 07:10:06.298293 | 2026-02-04 07:01:53.240587 |
| 2026-03-11 07:09:55.279192 | 2026-03-11 07:10:05.051749 | 20079079 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-05 | 2026-03-11 | F | PT | 4185 | ZARRAONANDIA | JQU263A62637 | JENNIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16233568/check_20079079_a3b71c49-bdc0-46ff-b9fd-3d780f44ad36.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16233568/check_20079079_9d30faaf-6d27-41cb-8072-95077c8aaaf7.json | N/A | N/A | N/A | N/A | N/A | JQU263A62637 | Preferred Provider Organization (PPO) | PRE-CON INSTALLERS | ANTHEM BLUE CROSS | N/A | 1969-01-05 | 040 | K77610 | N/A | PR | false | ZARRAONANDIA | N/A | DANIEL | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682767 | N/A | N/A | 16233568 | 2222 | N/A | 20047096 | N/A | 4209386 | 2026-03-11 07:10:05.051749 | 2026-02-06 18:31:25.628854 |
| 2026-03-11 07:09:55.234700 | 2026-03-11 07:10:05.304736 | 20079070 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-10-31 | 2026-03-11 | M | AE | 5505 | Saigal | 000099011882 | Anuj | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16232960/check_20079070_945cd25c-3dad-4ccc-8c36-331b437e1076.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16232960/check_20079070_c036b2ad-fdb9-4f9d-bb03-c50495e54b8b.json | N/A | N/A | N/A | N/A | N/A | 000099011882 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1983-10-31 | 4378551 | 399999 | N/A | N/A | false | SAIGAL | N/A | ANUJ | N/A | 2026-12-31 | 2026-01-01 | SEQUOIA ONE PEO, LLC SCR HMO 30 BAND 10 EU 50 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682773 | N/A | N/A | 16232960 | 2222 | N/A | 20047099 | N/A | 14285298 | 2026-03-11 07:10:05.304736 | 2026-02-02 22:29:01.390687 |
| 2026-03-11 07:09:55.201839 | 2026-03-11 07:10:06.157106 | 20079063 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-09 | 2026-03-11 | F | AE | 6411 | COLEY | 0225178-01 | GWENDOLYN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16014911/check_20079063_7534eb06-2560-4f49-9509-3018bc3fb0eb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16014911/check_20079063_d3b0cbd1-e81d-4ecf-9c8a-9ce75bcb1e11.json | N/A | N/A | N/A | N/A | N/A | 910143184 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1957-01-09 | N/A | 01991 | N/A | HN | false | COLEY | N/A | GWENDOLYN | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682764 | N/A | N/A | 16014911 | 2222 | N/A | 20047115 | N/A | 4213018 | 2026-03-11 07:10:06.157106 | 2025-05-22 00:04:46.399580 |
| 2026-03-11 07:09:55.194593 | 2026-03-11 07:10:04.849633 | 20079062 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-04 | 2026-03-11 | F | AE | 2630 | COLLIER | 00000362820 | TAMMY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16231354/check_20079062_6935b9c4-5a7e-4d87-b0ca-c00c7d24f422.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000362820 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-05-04 | N/A | N/A | N/A | N/A | false | COLLIER | N/A | TAMMY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16231354 | 2222 | N/A | N/A | N/A | 4212056 | 2026-03-11 07:10:04.849633 | 2026-02-04 06:36:19.638419 |
| 2026-03-11 07:09:55.108312 | 2026-03-11 07:10:05.177479 | 20079047 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-02-14 | 2026-03-11 | F | AE | 6411 | CORDOVA | 2132374-02 | SHANNON | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16088358/check_20079047_e9273c34-ded3-4a58-a2e6-2d6b6f83f81e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16088358/check_20079047_1e081b3d-100a-40d8-b26b-f9f3d4c5c7b4.json | N/A | N/A | N/A | N/A | N/A | 213237402 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1972-02-14 | N/A | 682302 | N/A | C1 | false | CORDOVA | N/A | SHANNON | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682768 | N/A | N/A | 16088358 | 2222 | N/A | 20047098 | N/A | 14153337 | 2026-03-11 07:10:05.177479 | 2026-02-12 21:31:18.058438 |
| 2026-03-11 07:09:55.047108 | 2026-03-11 07:10:04.852684 | 20079037 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-03-05 | 2026-03-11 | M | PT | 4184 | Runsewe | XDP296W23991 | Oluwapeyibom | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16011978/check_20079037_5c9916f8-824e-4e66-8997-dabb30e00892.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16011978/check_20079037_bd8e16e6-6fec-4086-8689-303631480b37.json | N/A | N/A | N/A | N/A | N/A | XDP296W23991 | Preferred Provider Organization (PPO) | REGENTS OF THE UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1994-03-05 | 040 | 281636M037 | N/A | PR | false | RUNSEWE | N/A | OLUWAPEYIBOM | N/A | 9999-12-31 | 2025-06-13 | UC RESIDENTS AND FELLOWS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682750 | N/A | N/A | 16011978 | 2222 | N/A | 20047092 | N/A | 14083808 | 2026-03-11 07:10:04.852684 | 2026-02-06 23:30:31.957582 |
| 2026-03-11 07:09:54.915459 | 2026-03-11 07:10:02.344189 | 20079017 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-02-16 | 2026-03-11 | F | PT | 4191 | PISANIS SANDWICK | XEH908865057 | OLIVIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15994551/check_20079017_c7912412-10e0-4f6e-a75b-b2129cc11367.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15994551/check_20079017_7bd368bd-5bba-4f24-a114-d9dd1193288c.json | N/A | N/A | N/A | N/A | N/A | XEH908865057 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA RETIREES | BLUE SHIELD CALIFORNIA | N/A | 1963-02-16 | 1000HMOX0002 | W0067630 | N/A | HM | false | SANDWICK | N/A | MICHAEL | N/A | N/A | N/A | COUNTY OF VENTURA RETIREES CUSTOM ACCESS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682732 | N/A | N/A | 15994551 | 2222 | N/A | 20047072 | N/A | 4211481 | 2026-03-11 07:10:02.344189 | 2025-05-13 04:29:37.225817 |
| 2026-03-11 07:09:54.833508 | 2026-03-11 07:10:02.424843 | 20079005 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1970-10-11 | 2026-03-11 | M | AE | 5504 | Downes | 000032002308 | Gile | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15904788/check_20079005_9bf8db31-b770-4d10-8151-0e914dab1b6b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15904788/check_20079005_227c2051-2434-4328-b4de-1415f1e99b66.json | N/A | N/A | N/A | N/A | N/A | 000032002308 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1970-10-11 | 4362456 | 1650095001 | N/A | N/A | false | DOWNES | N/A | GILE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 73 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682727 | N/A | N/A | 15904788 | 2222 | N/A | 20047077 | N/A | 13988678 | 2026-03-11 07:10:02.424843 | 2026-01-26 21:20:00.552687 |
| 2026-03-11 07:09:54.726267 | 2026-03-11 07:10:02.378791 | 20078988 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-09 | 2026-03-11 | F | PT | 4191 | GUIDETTI | XEA913379841 | FAITH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15845603/check_20078988_f909209d-b047-4fe3-ab9f-d7501e11a13a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15845603/check_20078988_95d1fb77-365c-456a-83e4-c11913860873.json | N/A | N/A | N/A | N/A | N/A | XEA913379841 | Preferred Provider Organization (PPO) | JOHN MUIR CHARTER SCHOOLS | BLUE SHIELD CALIFORNIA | N/A | 2000-08-09 | 1000V0000153 | W0106637 | N/A | PR | false | GUIDETTI | N/A | JOSEPH | N/A | 9999-12-31 | 2024-07-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682725 | N/A | N/A | 15845603 | 2222 | N/A | 20047070 | N/A | 13934262 | 2026-03-11 07:10:02.378791 | 2026-01-28 18:43:13.198401 |
| 2026-03-11 07:09:54.623763 | 2026-03-11 07:10:02.345259 | 20078968 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-11 | 2026-03-11 | M | AE | 4497 | PERDUE | 2J72CC1AK84 | BRADLEY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15831074/check_20078968_aae996ce-3cba-40ee-9ddf-67d8fbce9573.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15831074/check_20078968_fe7b62b6-903c-455b-8f42-46551fb77cb3.json | N/A | N/A | N/A | N/A | N/A | 2J72CC1AK84 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-10-11 | S5617 | N/A | N/A | MB | false | PERDUE | N/A | BRAD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 89188 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682716 | N/A | N/A | 15831074 | 2222 | N/A | 20047067 | N/A | 13920383 | 2026-03-11 07:10:02.345259 | 2026-01-27 19:17:05.539394 |
| 2026-03-11 07:09:54.554070 | 2026-03-11 07:10:03.436958 | 20078957 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-17 | 2026-03-11 | F | AE | 3948 | Corcoran | W253776089 | Madeline | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15813035/check_20078957_eed2af5c-4c4c-491a-ae4d-8f19bb967a32.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15813035/check_20078957_e47d2187-4520-4674-b8a4-388e6007c5a6.json | N/A | N/A | N/A | N/A | N/A | W253776089 | Point of Service (POS) | AMAZON.COM SERVICES, INC. | AETNA | N/A | 2011-12-17 | 0868404 | 086840403200101 | N/A | PS | false | CORCORAN | N/A | MICHAEL | N/A | 2026-01-31 | 2025-01-01 | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682713 | N/A | N/A | 15813035 | 2222 | N/A | 20047085 | N/A | 13902816 | 2026-03-11 07:10:03.436958 | 2026-02-04 04:01:36.732476 |
| 2026-03-11 07:09:54.434030 | 2026-03-11 07:10:02.386536 | 20078935 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-08-02 | 2026-03-11 | F | AE | 5505 | Tchorbajian | 000011878915 | Tamar | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15811539/check_20078935_4158a70c-a639-4819-ab47-02e14c3e8004.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15811539/check_20078935_12df5476-4ee1-4f5d-ae14-5cd787240f8e.json | N/A | N/A | N/A | N/A | N/A | 000011878915 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1969-08-02 | 3003378 | 1650095001 | N/A | N/A | false | TCHORBAJIAN | N/A | TAMAR | N/A | 2026-12-31 | 2026-01-01 | GF JANUARY - KPIF DHMO TRANSFERS GF DHMO $1500 W/C | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682717 | N/A | N/A | 15811539 | 2222 | N/A | 20047074 | N/A | 13901033 | 2026-03-11 07:10:02.386536 | 2026-02-23 00:55:06.143481 |
| 2026-03-11 07:09:54.378616 | 2026-03-11 07:10:02.416366 | 20078927 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-02-18 | 2026-03-11 | F | PT | 4191 | MENDOZA | JMV327W24025 | MARTHA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15810989/check_20078927_def9415b-bde0-45a3-a1f7-c11c587cafe1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810989/check_20078927_a7c81531-869e-4d3b-ae41-b66a84aa74cd.json | N/A | N/A | N/A | N/A | N/A | JMV327W24025 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 1983-02-18 | 040 | 56677NR000 | N/A | HM | false | MENDOZA | N/A | GERARDO | N/A | 9999-12-31 | 2025-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682705 | N/A | N/A | 15810989 | 2222 | N/A | 20047079 | N/A | 13900510 | 2026-03-11 07:10:02.416366 | 2026-01-27 00:13:26.286289 |
| 2026-03-11 07:09:54.297872 | 2026-03-11 07:10:02.380153 | 20078912 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-22 | 2026-03-11 | F | AE | 2630 | MATHESON | 00000433752 | JANET | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9511696/check_20078912_e4890bb2-b6d9-4021-81fe-ddab6e69e50a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9511696/check_20078912_32bfcf3a-adae-43c6-9561-7fbf06a17107.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-04-22 | N/A | N/A | N/A | N/A | false | MATHESON | N/A | JANET | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9511696 | 2222 | N/A | 20047078 | N/A | 7954244 | 2026-03-11 07:10:02.380153 | 2025-09-29 18:15:39.145358 |
| 2026-03-11 07:09:54.234224 | 2026-03-11 07:10:02.350737 | 20078904 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-09-07 | 2026-03-11 | F | AE | 4497 | HOVHANNISYAN | 6P83GP4FJ94 | NUNE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15810858/check_20078904_64a85b97-dd25-4351-9879-850b47e100bc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810858/check_20078904_cab70ec7-aa30-4369-b202-ea76ab8fddf2.json | N/A | N/A | N/A | N/A | N/A | 6P83GP4FJ94 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1969-09-07 | S4802 | N/A | N/A | MB | false | HOVHANNISYAN | N/A | NUNE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 102020 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682707 | N/A | N/A | 15810858 | 2222 | N/A | 20047071 | N/A | 13900399 | 2026-03-11 07:10:02.350737 | 2026-01-23 01:48:30.294768 |
| 2026-03-11 07:09:54.129861 | 2026-03-11 07:10:02.348792 | 20078884 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-01-04 | 2026-03-11 | M | AE | 4811 | Guerrero Jaimes | 000025905803 | Esteban | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15710448/check_20078884_0242e261-0066-4058-b67e-5c45068c9565.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15710448/check_20078884_36cf6aac-58e2-4db4-b5c3-342e45262de6.json | N/A | N/A | N/A | N/A | N/A | 000025905803 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1972-01-04 | 4385645 | 101555 | N/A | N/A | false | GUERRERO JAIMES | N/A | ESTEBAN | N/A | 2026-12-31 | 2026-01-01 | RAND CORPORATION RAND CORPORATION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682703 | N/A | N/A | 15710448 | 2222 | N/A | 20047073 | N/A | 13811232 | 2026-03-11 07:10:02.348792 | 2026-01-28 09:13:29.000619 |
| 2026-03-11 07:09:54.028705 | 2026-03-11 07:10:02.360067 | 20078868 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-05-20 | 2026-03-11 | M | AE | 5538 | LIPP | JQC97583205F | ANDREW | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15487541/check_20078868_960835cd-e735-4e3c-8fd0-836bcfec5465.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15487541/check_20078868_11f4a68b-4f36-4122-beda-f786c510d420.json | N/A | N/A | N/A | N/A | N/A | 97583205F | N/A | BCSC WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 2000-05-20 | BCSC | BWLLNMEG21 | N/A | N/A | false | LIPP | N/A | ANDREW | N/A | 2078-12-31 | 2025-08-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682695 | N/A | N/A | 15487541 | 2222 | N/A | 20047068 | N/A | 13573473 | 2026-03-11 07:10:02.360067 | 2026-01-26 19:07:00.510896 |
| 2026-03-11 07:09:53.910514 | 2026-03-11 07:10:02.383390 | 20078844 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-01-07 | 2026-03-11 | F | PT | 4185 | Sabino Lasmarias | NCF513A21338 | Jovelyn | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15481529/check_20078844_e7e469bf-6afa-49c9-b7f7-89caca070ceb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15481529/check_20078844_995dd021-9307-4fd7-984e-3ce19b5cfada.json | N/A | N/A | N/A | N/A | N/A | NCF513A21338 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1986-01-07 | 040 | 57AJCA | N/A | HM | false | LASMARIAS | N/A | ANTHONY | N/A | 9999-12-31 | 2024-11-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682688 | N/A | N/A | 15481529 | 2222 | N/A | 20047076 | N/A | 13567673 | 2026-03-11 07:10:02.383390 | 2026-01-28 15:52:55.238058 |
| 2026-03-11 07:09:53.831400 | 2026-03-11 07:09:55.455235 | 20078834 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-08-30 | 2026-03-11 | M | AE | 6237 | Wilson | 400662670-01 | Jesse | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15459527/check_20078834_4157adb0-fc85-48d3-9527-4131af94c0d6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 400662670-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-08-30 | N/A | N/A | N/A | N/A | false | WILSON | N/A | JESSE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15459527 | 2222 | N/A | N/A | N/A | 13546654 | 2026-03-11 07:09:55.455235 | 2026-01-15 21:26:11.579374 |
| 2026-03-11 07:09:53.740390 | 2026-03-11 07:10:02.442570 | 20078818 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-01-31 | 2026-03-11 | F | PT | 4191 | Noghreian | JQU433W07737 | Nazanine | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15391519/check_20078818_504380e8-9639-4690-8435-e7a3023a75ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15391519/check_20078818_a66fe5e6-fae0-418a-834d-6304ab462550.json | N/A | N/A | N/A | N/A | N/A | JQU433W07737 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | BLUE SHIELD OF CALIFORNIA | N/A | 1970-01-31 | 040 | 476522 | N/A | PR | false | NOGHREIAN | N/A | RAMIN | N/A | 9999-12-31 | 2026-01-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682684 | N/A | N/A | 15391519 | 2222 | N/A | 20047081 | N/A | 13486080 | 2026-03-11 07:10:02.442570 | 2026-01-14 17:25:11.719590 |
| 2026-03-11 07:09:53.671010 | 2026-03-11 07:09:55.551599 | 20078804 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-09 | 2026-03-11 | F | AE | 6237 | ANDREATTE | 40080474001 | DEANNA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15196264/check_20078804_33ed74e9-e33e-47d3-aaa5-7a912025659e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15196264/check_20078804_0c8ba006-4905-4d2f-8b60-69cb3ef09528.json | N/A | N/A | N/A | N/A | N/A | 40080474001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-12-09 | 2026CA200ABDLAC | H0976DSNP | N/A | N/A | false | ANDREATTE | N/A | DEANNA | N/A | N/A | N/A | CALIFORNIA MEDI-CAL PLAN 200 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682683 | N/A | N/A | 15196264 | 2222 | N/A | 20047046 | N/A | 4755145 | 2026-03-11 07:09:55.551599 | 2026-01-14 18:08:34.434380 |
| 2026-03-11 07:09:53.540887 | 2026-03-11 07:09:55.253470 | 20078782 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-01-03 | 2026-03-11 | M | AE | 4497 | YARROW | 6X53H18QY12 | FREDERICK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15193195/check_20078782_23482af0-bcdb-4228-bcfe-4da8bf0622d9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15193195/check_20078782_e2776b31-c898-465d-850f-54701e4fc880.json | N/A | N/A | N/A | N/A | N/A | 6X53H18QY12 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-01-03 | S5921 | N/A | N/A | MA | false | YARROW | N/A | FREDERICK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 120936 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682663 | N/A | N/A | 15193195 | 2222 | N/A | 20047044 | N/A | 13295466 | 2026-03-11 07:09:55.253470 | 2026-01-08 22:41:21.406873 |
| 2026-03-11 07:09:53.451522 | 2026-03-11 07:09:58.894036 | 20078767 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-16 | 2026-03-11 | M | PT | 4185 | GREENHALGE | NCF143A55388 | STEVE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14411082/check_20078767_3c0fc9fb-4ec4-4b8f-b5b6-06aa1aad5a0f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14411082/check_20078767_cffc40c2-a624-4570-92e3-ec1a5650109e.json | N/A | N/A | N/A | N/A | N/A | NCF143A55388 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1957-07-16 | 040 | 57AJCA | N/A | HM | false | GREENHALGE | N/A | STEVE | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682659 | N/A | N/A | 14411082 | 2222 | N/A | 20047064 | N/A | 12546413 | 2026-03-11 07:09:58.894036 | 2026-02-05 22:22:26.212113 |
| 2026-03-11 07:09:53.437656 | 2026-03-11 07:10:02.334269 | 20078765 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-11-24 | 2026-03-11 | M | AE | 5505 | Lilli | 000021071229 | Joseph | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15192067/check_20078765_91cd13f9-277e-46fc-8798-1f11ae24f01c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15192067/check_20078765_91e36b63-9462-402c-8162-7f779e650a13.json | N/A | N/A | N/A | N/A | N/A | 000021071229 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1971-11-24 | 4299123 | 231294 | N/A | N/A | false | LILLI | N/A | JOSEPH | N/A | 2026-12-31 | 2026-01-01 | AMAZON.COM SERVICES LLC AMAZON HMO NON-OPS SINGLE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682667 | N/A | N/A | 15192067 | 2222 | N/A | 20047066 | N/A | 13294448 | 2026-03-11 07:10:02.334269 | 2026-01-08 22:14:35.165843 |
| 2026-03-11 07:09:53.322169 | 2026-03-11 07:10:02.380142 | 20078748 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-14 | 2026-03-11 | M | AE | 3948 | KELKAR | W293958328 | SHASHANK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15126340/check_20078748_b3ce4740-a82f-4535-a7c0-b7ad01cdded8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15126340/check_20078748_c640cb29-7dc8-4f1c-a531-bf9f739c9d6c.json | N/A | N/A | N/A | N/A | N/A | W293958328 | Point of Service (POS) | ASTRAZENECA PHARMACEUTICALS LP | AETNA | N/A | 1970-07-14 | 0192654 | 019265403800001 | N/A | PS | false | KELKAR | N/A | SHASHANK | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682651 | N/A | N/A | 15126340 | 2222 | N/A | 20047075 | N/A | 13234520 | 2026-03-11 07:10:02.380142 | 2026-01-09 18:02:31.951552 |
| 2026-03-11 07:09:53.217526 | 2026-03-11 07:09:58.937706 | 20078728 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-12-06 | 2026-03-11 | F | AE | 4625 | GHARAVI | 99570419E | JASMINE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14856447/check_20078728_8b009adc-25d0-43bb-b8fd-ca4cdc9d8140.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14856447/check_20078728_2c4995af-ab84-4714-b13b-1b2c8cba90bd.json | N/A | N/A | N/A | N/A | N/A | 99570419E | N/A | N/A | HEALTH NET, LLC | N/A | 1997-12-06 | N/A | N/A | N/A | N/A | false | GHARAVI | N/A | JASMINE | N/A | 2026-01-29 | 2024-05-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682646 | N/A | N/A | 14856447 | 2222 | N/A | 20047063 | N/A | 12968899 | 2026-03-11 07:09:58.937706 | 2026-01-05 20:58:07.379737 |
| 2026-03-11 07:09:53.129558 | 2026-03-11 07:09:58.890145 | 20078712 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-18 | 2026-03-11 | F | AE | 5505 | Carrillo | 000021555700 | Yolanda | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14778386/check_20078712_96b39d17-ea37-49cf-94df-2a3e545ad792.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14778386/check_20078712_8358743c-ae31-433b-9e81-336192d9eee0.json | N/A | N/A | N/A | N/A | N/A | 000021555700 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1958-04-18 | 4385825 | 236396 | N/A | N/A | false | CARRILLO | N/A | YOLANDA | N/A | 2026-12-31 | 2026-01-01 | PRIMEX CLINICAL LABORATORIES PRIMEX CLINICAL LABS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682638 | N/A | N/A | 14778386 | 2222 | N/A | 20047062 | N/A | 12908843 | 2026-03-11 07:09:58.890145 | 2025-12-29 19:20:06.652914 |
| 2026-03-11 07:09:53.043285 | 2026-03-11 07:09:58.878516 | 20078699 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-06-09 | 2026-03-11 | F | PT | 4184 | FARDAD FINN | JQU683A20101 | MAYA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14765769/check_20078699_6da31494-fbb2-496e-9e34-2b02eb5d35f9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14765769/check_20078699_9ffef78d-fd27-4995-8e13-980d545eb69a.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 2003-06-09 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | N/A | 9999-12-31 | 2025-12-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682634 | N/A | N/A | 14765769 | 2222 | N/A | 20047061 | N/A | 12896808 | 2026-03-11 07:09:58.878516 | 2025-12-29 16:45:47.287583 |
| 2026-03-11 07:09:52.989354 | 2026-03-11 07:09:54.728464 | 20078689 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-10-04 | 2026-03-11 | F | AE | 4497 | Zlotnik | 4QK5d46EM75 | Arna | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14680293/check_20078689_787cd8dc-b6e5-46c9-87fd-fd798dcc3307.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14680293/check_20078689_953823de-f4a1-4cb6-ab7f-a48560561d7d.json | N/A | N/A | N/A | N/A | N/A | 4QK5D46EM75 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-04 | S2468 | N/A | N/A | MB | false | ZLOTNIK | N/A | ARNA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 95391 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682629 | N/A | N/A | 14680293 | 2222 | N/A | 20047039 | N/A | 12809193 | 2026-03-11 07:09:54.728464 | 2025-12-24 22:33:12.925424 |
| 2026-03-11 07:09:52.804867 | 2026-03-11 07:10:02.447599 | 20078661 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1962-09-10 | 2026-03-11 | M | PT | 4197 | M Johnson | KWS141015355001 | David | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14108628/check_20078661_9ea9267e-3d0c-4e70-9504-cd1ec3b2c490.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108628/check_20078661_c62e4d1b-71e0-420e-961a-5dc0404fdd68.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682625 | N/A | N/A | 14108628 | 2222 | N/A | 20047080 | N/A | 12247347 | 2026-03-11 07:10:02.447599 | 2025-12-10 23:35:09.824882 |
| 2026-03-11 07:09:52.656051 | 2026-03-11 07:10:02.347594 | 20078636 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-28 | 2026-03-11 | M | AE | 5349 | Kisca | H6309049800 | John | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/13037589/check_20078636_4910501e-967b-4e60-89f6-7ada68769c57.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13037589/check_20078636_8cf2e3cb-88f5-4e05-8479-bc6786ecdb92.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-08-28 | N/A | 2B863001 | N/A | HN | false | KISCA | N/A | JOHN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682617 | N/A | N/A | 13037589 | 2222 | N/A | 20047069 | N/A | 11194723 | 2026-03-11 07:10:02.347594 | 2025-12-17 17:59:32.346197 |
| 2026-03-11 07:09:52.653363 | 2026-03-11 07:09:54.639622 | 20078634 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2026-03-11 | M | AE | 4497 | Maher | 6FT2G33TN93 | Timothy | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655342/check_20078634_c0833a7b-4a8d-4918-baf6-41e3f9b6c7d8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655342/check_20078634_99afabc2-24cd-4e4d-baf1-67f974be74c0.json | N/A | N/A | N/A | N/A | N/A | 6FT2G33TN93 | Medicare Part B | N/A | ZURICH AMERICAN INSURANCE COMPAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-25 | S5617 | DOL 07222014 | N/A | MB | false | MAHER | N/A | TIMOTHY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 192664 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682626 | N/A | N/A | 13655342 | 2222 | N/A | 20047037 | N/A | 11803316 | 2026-03-11 07:09:54.639622 | 2025-12-16 19:29:59.872631 |
| 2026-03-11 07:09:52.431264 | 2026-03-11 07:09:58.894396 | 20078598 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-06-06 | 2026-03-11 | F | AE | 5505 | Benzaquen | 000007108227 | Yafa | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/13007520/check_20078598_8c2043af-d965-4306-9568-356da4a4a0ea.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13007520/check_20078598_e44aad86-8fb7-4cc0-acca-0e72b185caeb.json | N/A | N/A | N/A | N/A | N/A | 000007108227 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | SRA - SENIOR ADVANTAGE | 1959-06-06 | 4332645 | 1650095001 | N/A | N/A | false | BENZAQUEN | N/A | YAFA | N/A | 2026-12-31 | 2026-01-01 | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682614 | N/A | N/A | 13007520 | 2222 | N/A | 20047059 | N/A | 11166074 | 2026-03-11 07:09:58.894396 | 2025-11-18 22:12:26.920696 |
| 2026-03-11 07:09:52.324214 | 2026-03-11 07:09:58.919075 | 20078580 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-04 | 2026-03-11 | F | AE | 5349 | MENDEZ | H9608321000 | LINDA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/12421991/check_20078580_0394278b-d073-40e1-a68e-a9e0231f6313.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_20078580_b3dd7fee-71d3-468c-b4fe-11ffc8676da6.json | N/A | N/A | N/A | N/A | N/A | H96083210 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682611 | N/A | N/A | 12421991 | 2222 | N/A | 20047065 | N/A | 10601861 | 2026-03-11 07:09:58.919075 | 2025-11-07 18:35:55.025808 |
| 2026-03-11 07:09:52.230184 | 2026-03-11 07:09:55.182348 | 20078565 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-05 | 2026-03-11 | F | PT | 4184 | HOUSTON | TRJNP0019401 | VELINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12244725/check_20078565_8578b7ec-554c-44b2-9ec8-f6c8e70477d1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_20078565_1c8cb641-986e-411a-8410-537cc1f3bac0.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682607 | N/A | N/A | 12244725 | 2222 | N/A | 20047043 | N/A | 9637804 | 2026-03-11 07:09:55.182348 | 2026-04-24 18:56:42.779565 |
| 2026-03-11 07:09:52.136011 | 2026-03-11 07:09:55.007144 | 20078550 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-07-03 | 2026-03-11 | M | PT | 4184 | STEALEY | JQU013W15922 | JACOB | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010678/check_20078550_16751f4d-6fac-4eaa-86be-a6533d08e4d3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010678/check_20078550_3686ebee-a86c-46b7-9ce1-1498d7cd66a0.json | N/A | N/A | N/A | N/A | N/A | JQU013W15922 | Preferred Provider Organization (PPO) | THE SAW, INC | ANTHEM BLUE CROSS | N/A | 1994-07-03 | 040 | K45474 | N/A | PR | false | STEALEY | N/A | JACOB | N/A | 9999-12-31 | 2026-02-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682598 | N/A | N/A | 12010678 | 2222 | N/A | 20047041 | N/A | 10232475 | 2026-03-11 07:09:55.007144 | 2025-11-01 00:03:21.076437 |
| 2026-03-11 07:09:52.047165 | 2026-03-11 07:09:58.873225 | 20078535 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-24 | 2026-03-11 | M | PT | 4184 | RAY | PAS838471972 | JOHN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11420779/check_20078535_f4c015bd-efed-4931-bdf3-969c3fbf46a9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420779/check_20078535_efe466fc-2694-480d-ba5f-8d3178b03075.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | ATT BROAD OPTION 1 | ANTHEM BLUE CROSS | N/A | 1961-06-24 | N/A | 416970 | N/A | PR | false | RAY | N/A | JOHN | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682593 | N/A | N/A | 11420779 | 2222 | N/A | 20047060 | N/A | 9673427 | 2026-03-11 07:09:58.873225 | 2025-11-03 19:27:12.288254 |
| 2026-03-11 07:09:51.952508 | 2026-03-11 07:09:54.711820 | 20078516 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-03-15 | 2026-03-11 | F | PT | 4185 | DUMAIS | JQV380A68679 | JULIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11399834/check_20078516_d0b8a3d0-6876-4541-a747-e80d456b50b3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11399834/check_20078516_19b6d3f9-0ddc-4218-96b9-b9a08e91b00d.json | N/A | N/A | N/A | N/A | N/A | JQV380A68679 | Health Maintenance Organization (HMO) | BRIGHTSTAR PARTNERS INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 2002-03-15 | 040 | Q84248 | N/A | HM | false | DUMAIS | N/A | JULIA | N/A | 9999-12-31 | 2025-07-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682580 | N/A | N/A | 11399834 | 2222 | N/A | 20047038 | N/A | 9659468 | 2026-03-11 07:09:54.711820 | 2025-10-23 16:38:33.858959 |
| 2026-03-11 07:09:51.944884 | 2026-03-11 07:09:54.763852 | 20078515 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-12-22 | 2026-03-11 | M | PT | 23320 | HETH | XEH910929228 | KENT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7626895/check_20078515_53684d49-037c-41fa-acf5-e320a5a5da45.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_20078515_77b6a3e2-cfe9-4867-90e5-5587a6ff8fc6.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682581 | N/A | N/A | 7626895 | 2222 | N/A | 20047040 | N/A | 6525917 | 2026-03-11 07:09:54.763852 | 2026-05-08 22:53:13.232007 |
| 2026-03-11 07:09:51.822933 | 2026-03-11 07:09:54.552373 | 20078494 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-11-16 | 2026-03-11 | M | PT | 4185 | COPELAND | SIF818M55219 | CHRISTOPHER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/10355543/check_20078494_5523f6fa-85b9-4a34-8803-917e429f2664.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10355543/check_20078494_80cd3083-927a-4288-bd7d-8c47ab5c154b.json | N/A | N/A | N/A | N/A | N/A | SIF818M55219 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-11-16 | 040 | 40971D | N/A | PR | false | COPELAND | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682574 | N/A | N/A | 10355543 | 2222 | N/A | 20047035 | N/A | 8619978 | 2026-03-11 07:09:54.552373 | 2025-10-13 20:53:09.422541 |
| 2026-03-11 07:09:51.796275 | 2026-03-11 07:09:55.590548 | 20078488 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-03-11 | F | AE | 4211 | CRUTCHFIELD | 90443065C | HELEN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_20078488_1eeaf9f9-2714-45ed-8536-8b247b2a4fc2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_20078488_87c98661-2b18-4368-9794-88d29ffc218c.json | N/A | N/A | N/A | N/A | N/A | 90443065C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-11-24 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682571 | N/A | N/A | 10103203 | 2222 | N/A | 20047048 | N/A | 8437251 | 2026-03-11 07:09:55.590548 | 2025-10-07 19:08:26.048804 |
| 2026-03-11 07:09:51.642101 | 2026-03-11 07:09:54.556049 | 20078465 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-01 | 2026-03-11 | M | PT | 4185 | Moreno jr | VDHE01043007 | Hector | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9691081/check_20078465_513d00fb-2718-4d20-9bd0-4dbacc695b62.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_20078465_bd653766-576a-4b00-bacd-6e9aec74510d.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682572 | N/A | N/A | 9691081 | 2222 | N/A | 20047036 | N/A | 8110015 | 2026-03-11 07:09:54.556049 | 2025-10-05 15:24:30.421551 |
| 2026-03-11 07:09:51.542909 | 2026-03-11 07:09:53.251669 | 20078448 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-02-04 | 2026-03-11 | F | AE | 4497 | SMITS | 9TF8JW2XU20 | HEIDI | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9681583/check_20078448_e05f398e-b29b-46b5-9d08-846d7012e7e1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_20078448_9c73306b-186d-4ef0-9fb9-b19e61d4fd5e.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 52701 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10260682533 | N/A | N/A | 9681583 | 2222 | N/A | 20047026 | N/A | 8101289 | 2026-03-11 07:09:53.251669 | 2025-09-24 17:05:46.431721 |
| 2026-03-11 07:09:51.542316 | 2026-03-11 07:09:55.332201 | 20078447 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1957-04-11 | 2026-03-11 | M | PT | 4197 | ADRIAN | MBL508W11635 | NELSON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541841/check_20078447_55a6561b-9c66-423a-979d-4e1463cecb5c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541841/check_20078447_f20547a6-3b20-46f4-a684-02ff76f66e6a.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10260682534 | N/A | N/A | 5541841 | 2222 | N/A | 20047045 | N/A | 4213826 | 2026-03-11 07:09:55.332201 | 2025-05-13 04:29:37.228146 |
| 2026-03-11 07:09:51.465196 | 2026-03-11 07:09:54.292635 | 20078434 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-22 | 2026-03-11 | F | AE | 2630 | MATHESON | 00000433752 | JANET | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9511696/check_20078434_bcd6297c-e7d5-46f6-83ef-b7be0a892f13.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000433752 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-04-22 | N/A | N/A | N/A | N/A | false | MATHESON | N/A | JANET | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9511696 | 2222 | N/A | N/A | N/A | 7954244 | 2026-03-11 07:09:54.292635 | 2025-09-29 18:15:39.145358 |